Lisa Renee Davis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3009600 Issued in KY

Practice address

1107 Bellefonte Rd
Flatwoods, KY 41139-2503

Phone

(606) 834-0125

Fax

(606) 834-0128

NPI assigned

Sep 30, 2015

Last updated

Jun 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ashland Hospital CorporationGroup PAC ID 7719882521, 169 clinicians

Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King's Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Merit-based Incentive Payment System (MIPS)

Final score

89.16 of 100Reported as group

Quality

77.42

Promoting interoperability

100

Improvement activities

40

Cost

77.62

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ldavis53311@direct.kdhealth.us

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ashland Hospital Corporation

  dba King's Daughters Family Pharmacy #3

  • Community/Retail Pharmacy
  • Ironton, OH
  • NPI 1053748913

  KY

  Medicare reassignment Care Compare group NPD
• Ashland Hospital Corporation

  dba King's Daughters Rehab & Skilled Nursing Center

  • Skilled Nursing Facility
  • Ashland, KY
  • NPI 1558426692
  NPD
• Ashland Hospital Corporation

  dba King's Daughters Medical Center Family Care Centers

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1659328250
  NPD
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center Jackson Medical Specialties

  • Rural Health Clinic/Center
  • Jackson, OH
  • NPI 1356434773
  NPD
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720

  Family

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1609246966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 BELLEFONTE RD",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411392503",
            "telephone_number": "606-834-0125",
            "fax_number": "606-834-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Chandler
• Samantha Childers, PA
• John Alan Clark, R.PH.
• Contemplations Behavioral Health (Contemplations Counseling Services)
• Kristin Utley Daniels, PHARMD
• Rosa Lee Delong, D.P.T.
• Diabetic Shoe Clinic LLC (Diabetic Shoe Clinic)
• Brittani Kay Dingess, D.O.
• Dr James T Brom PSC
• Carrie Dudley

• Family Nurse Practitioner in Flatwoods, KY
• Providers in Flatwoods, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.